Generalized Anxiety Disorders: A Case Study

Thursday, December 9, 2021 3:34:39 PM

Generalized Anxiety Disorders: A Case Study



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Generalized Anxiety Disorder Video Simulation, Psychology Case Study

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CBT can also help people learn and practice social skills, which is vital for treating social anxiety disorder. Cognitive therapy and exposure therapy are two CBT methods that are often used, together or by themselves, to treat social anxiety disorder. Cognitive therapy focuses on identifying, challenging, and then neutralizing unhelpful or distorted thoughts underlying anxiety disorders. Exposure therapy focuses on confronting the fears underlying an anxiety disorder to help people engage in activities they have been avoiding. CBT can be conducted individually or with a group of people who have similar difficulties.

Medication does not cure anxiety disorders but can help relieve symptoms. Medication for anxiety is prescribed by doctors, such as a psychiatrist or primary care provider. Some states also allow psychologists who have received specialized training to prescribe psychiatric medications. The most common classes of medications used to combat anxiety disorders are anti-anxiety drugs such as benzodiazepines , antidepressants, and beta-blockers. Anti-anxiety medications can help reduce the symptoms of anxiety, panic attacks, or extreme fear and worry.

The most common anti-anxiety medications are called benzodiazepines. Although benzodiazepines are sometimes used as first-line treatments for generalized anxiety disorder, they have both benefits and drawbacks. Some benefits of benzodiazepines are that they are effective in relieving anxiety and take effect more quickly than antidepressant medications often prescribed for anxiety. Some drawbacks of benzodiazepines are that people can build up a tolerance to them if they are taken over a long period of time and they may need higher and higher doses to get the same effect. Some people may even become dependent on them. To avoid these problems, doctors usually prescribe benzodiazepines for short periods of time, a practice that is especially helpful for older adults, people who have substance abuse problems, and people who become dependent on medication easily.

If people suddenly stop taking benzodiazepines, they may have withdrawal symptoms, or their anxiety may return. Therefore, benzodiazepines should be tapered off slowly. When you and your doctor have decided it is time to stop the medication, the doctor will help you slowly and safely decrease your dose. A different type of anti-anxiety medication is buspirone. Buspirone is a non-benzodiazepine medication specifically indicated for the treatment of chronic anxiety, although it does not help everyone.

Antidepressants are used to treat depression, but they can also be helpful for treating anxiety disorders. They may help improve the way your brain uses certain chemicals that control mood or stress. You may need to try several different antidepressant medicines before finding the one that improves your symptoms and has manageable side effects. A medication that has helped you or a close family member in the past will often be considered. If you begin taking antidepressants, do not stop taking them without the help of a doctor.

Stopping them abruptly can cause withdrawal symptoms. Antidepressants called selective serotonin reuptake inhibitors SSRIs and serotonin-norepinephrine reuptake inhibitors SNRIs are commonly used as first-line treatments for anxiety. Less-commonly used — but effective — treatments for anxiety disorders are older classes of antidepressants, such as tricyclic antidepressants and monoamine oxidase inhibitors MAOIs. Please Note: In some cases, children, teenagers, and young adults under 25 may experience an increase in suicidal thoughts or behavior when taking antidepressant medications, especially in the first few weeks after starting or when the dose is changed.

Because of this, patients of all ages taking antidepressants should be watched closely, especially during the first few weeks of treatment. Although beta-blockers are most often used to treat high blood pressure, they can also be used to help relieve the physical symptoms of anxiety, such as rapid heartbeat, shaking, trembling, and blushing. These medications, when taken for a short period of time, can help people keep physical symptoms under control. Some types of drugs may work better for specific types of anxiety disorders, so people should work closely with their doctor to identify which medication is best for them.

Certain substances such as caffeine, some over-the-counter cold medicines, illicit drugs, and herbal supplements may aggravate the symptoms of anxiety disorders or interact with prescribed medication. Patients should talk with their doctor, so they can learn which substances are safe and which to avoid. Your doctor may try several medicines before finding the right one. Please note that any information on this website regarding medications is provided for educational purposes only and may be outdated. Diagnosis and treatment decisions should be made in consultation with your doctor. Information about medications changes frequently. Please visit the U. Food and Drug Administration website for the latest information on warnings, patient medication guides, or newly approved medications.

Some people with anxiety disorders might benefit from joining a self-help or support group and sharing their problems and achievements with others. Internet chat rooms might also be useful, but any advice received over the internet should be used with caution, as Internet acquaintances have usually never seen each other and what has helped one person is not necessarily what is best for another. You should always check with your doctor before following any treatment advice found on the internet. Talking with a trusted friend or member of the clergy can also provide support, but it is not necessarily a sufficient alternative to care from a doctor or other health professional.

Stress management techniques and meditation can help people with anxiety disorders calm themselves and may enhance the effects of therapy. These studies examined the role of CBD in the anxiety response of healthy volunteers; in generalized anxiety disorder; in social anxiety disorder; and in the anxiety component of posttraumatic stress syndrome. No articles that evaluated CBD in panic disorder, specific phobia, separation anxiety, and obsessive-compulsive disorder were identified. In the studies, CBD was administered orally as a capsule or as a sublingual spray and as either monotherapy or adjunctive therapy.

Doses varied widely, with studies employing fixed CBD doses ranging from 6 mg to mg per dose. Various anxiety assessment scales were used in the studies to assess efficacy, with CBD demonstrating improved clinical outcomes among the instruments. In general, CBD was well-tolerated and associated with minimal adverse effects, with the most commonly noted adverse effects being fatigue and sedation.

They also had similar ratings of social competence by their parents. This indicates that generalized anxiety disorder in childhood is not necessarily related to problems in relationships with friends. And it suggests that relationship problems in adults with GAD are the result of poor coping strategies that evolve over time—and that could be reversed. If you are married with GAD, anticipate that there may be struggles in your relationship and that couples therapy may be of help. A study found a correlation between anxiety in married women and their relationships with their husbands.

In fact, the study authors noted, the women tended to feel their husbands played some part in their anxiety by either making it worse or making it better. In a study of case histories of people receiving psychotherapy for GAD, how people displayed their worries varied depending on how they interacted with others. People with each of these styles manifested their worries in different ways. For example, a person who is worried about the safety of a loved one might call that person every five minutes intrusive while someone else might say nothing and silently worry themselves sick non-assertive. This means that the same worry can affect relationships in different ways. Therapy for generalized anxiety disorder should target these different styles of interacting.

You can help avoid problems caused by GAD and improve your relationships. Aside from seeking treatment for your anxiety, try these strategies:. Generalized anxiety disorder can affect relationships in different ways. If you are experiencing distress in relationships with friends, family, or a significant other, know that it's normal. If it is impairing your daily functioning, seek the help of your family doctor or mental health professional to determine the best course of action.